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NPI Code Detail

MEDICARE: ANDREW JERRY HINOJOSA MD

MEDICARE: ANDREW JERRY HINOJOSA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2015017145MO
2207QA0505XAdult Medicine PhysicianR6413TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336520717
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW JERRY HINOJOSA MD
Provider Business Mailing Address
First Line : 5846 WOOLDRIDGE RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-2402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5846 WOOLDRIDGE RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-2402
Country : US
Telephone Number : 361-994-8979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2015
Last Update Date : 07/01/2019

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